Direct Premium Written Memorandum - State of New Jersey 2025

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  1. Click ‘Get Form’ to open the Direct Premium Written Memorandum in the editor.
  2. Locate the section labeled 'DIRECT WRITTEN PREMIUMS IN NEW JERSEY'. Enter the total amount of direct premiums your company wrote in New Jersey for the year 2012.
  3. In the next field, provide your company's name as it should appear on official documents.
  4. Review your entries carefully. If your reported premiums are greater than $0, you will not owe any filing fees for 2012. If there were no direct premiums written, prepare a check for $100.00 payable to the State Treasurer of New Jersey.
  5. Once completed, save your document and follow the instructions to submit it along with your certificate of compliance.

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Surplus lines companies sell mostly property and casualty polices, like hard-to-insure homes. They dont sell auto liability policies or life and health insurance.
Getting Started. DOBI will email login credentials to NJ surplus lines producers and their designated administrators. If you do not receive your credentials, please call (609) 940-7428 or email sleo@dobi.nj.gov.
Surplus lines tax: 5%, payable by surplus lines producer.
What are the area codes of New Jersey? Area codesArea servedOverlays 201 Jersey City, Union City, Bayonne, Bergen, and Hudson counties. 551 551 Hoboken, West New York, Hackensack; Bergen, and Hudson counties. 201 609 Trenton, Atlantic City, Pleasantville; Burlington, Mercer, and Ocean counties. 6407 more rows
If you would rather speak to a licensed insurance agent, call (833) 645-1660.